NPI 1003594581
Jeremy Allen Tucker
Practice location
- Address
- 935 State Route Vv, Kennett, MO 63857-3822
- Phone
- (573) 888-5925
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003594581
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Jul 2023
- Record last updated
- 6 Jul 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.